Coronavirus Updates

Follow-Up Survey Shows Decline in Concern Over COVID-19

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A number of Hawai‘i residents don’t perceive the COVID-19 pandemic as much as a threat as much as they did a few months ago.

In less than two months, residents who viewed the virus as a “very serious” health concern has fallen from 73% to 54%, according to a follow-up survey commissioned by the Hawai‘i State Department of Health (DOH). The initial survey was conducted from April 17 to 23, and the follow-up survey was conducted from May 28 to June 7, 2020.

More alarming than the change in attitude, is its effect on preventive behaviors. While those who say they are social distancing “all of the time” has remained steady at 42%, the follow-up survey shows that fewer Hawai‘i residents are following current recommendations “most of the time” or “part of the time.”

“It’s critically important for everyone to take COVID-19 seriously,” said Bruce Anderson, director of the Department of Health. “Recently, we’ve seen an increase in cases from community transmission. We cannot interpret the reopening of businesses, restaurants, parks and other places as a license to let our guards down. Indeed, it is more important than ever to adhere to prevention measures we know work.”


Notable differences between the first and second reporting periods include:

-A 19% decline among those who are staying away from friends and family members who aren’t a part of the household (from 72% to 53%);
-A 14% decline among those who are avoiding large groups and gatherings (from 85% to 71%);
An 11% decline in the number who are staying six feet away from other people (from 74% to 63%);
-An 11% decline the number who are staying home as much as possible (from 62% to 51%); and
-A 9% drop among those who are avoiding handshakes and hugs (from 88% to 79%).

Respondents also report more recreational activity in the follow-up survey. This includes an 18% increase in the number of people who are going to the beach (from 35% to 53%) and an 11% increase among those who are hiking (29% to 40%). However, fewer people say they are eating out, with restaurant visits falling 7% from 48% in the first reporting period to 41%. It is important to note that dine-in service resumed after the follow-up service period.


The follow-up survey shows that 82% of those polled identify the DOH as a source of COVID-19 information. This ranks the entity as the top source of information, only behind local and national news outlets; 90% and 89% respectively.

The follow-up survey results validate that the DOH continues to reach a majority, or 95%, of Hawai‘i residents with its messages related to COVID-19 mitigation practices. In addition, awareness of COVID-19 symptoms and guidelines has increased, with more respondents able to recognize six of eight symptoms since mid-April. In addition, more than 90% of respondents could recall 12 of 18 recommended prevention guidelines when prompted.

More than half of respondents (56%) could recall the COVID-19 prevention public service announcements (PSA) featuring Frank De Lima—part of the DOH’s “Stay Healthy, Stay at Home” campaign—up 15%, from 41% in the April survey (aided awareness). Those who remembered one of these PSAs are more likely to recognize COVID-19 as a threat to their households and to correctly identify symptoms associated with the virus. In the initial survey, respondents who were able to recall DOH’s public health messaging were more likely to adhere to social distancing guidelines “all of the time.”


“It’s encouraging to see that our education efforts have been effective. Our staff continues to work with partners on outreach activities, including door-to-door canvasing and providing multilingual materials for communities,” said Anderson. “As we offer alternatives for the travel quarantine, wearing face coverings, physical distancing and washing hands becomes even more critical for protecting our state.”

DOH commissioned Anthology Research to conduct baseline and follow-up quantitative studies of Hawai‘i residents using both phone interviews and online surveys. Respondents were screened to ensure they were full-time Hawai‘i residents, at least 18-years-old. The margin of error for a sample of this size is +/- 4.20 percentage points with a 95 percent confidence level. View the baseline survey results here. To learn more about DOH’s COVID-19 prevention efforts, visit


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